MT WASHINGTON CHILDRENS CTR

Two written references (3270.192(5))

The file for staff person #4 had one written, nonfamily reference and lacked a second written, nonfamily reference. Requirement: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person. Correction: Staff member #4 is currently on medical leave. Before returning to the organization, staff member will provide another written reference, to complete the reference portion of staff's file. Once received, an email copy will be attached and sent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Pertinent Laws & Regulations/General Health and Safety (3270.14/3270.21)

Staff person #3 was observed to be caring for children unsupervised. Staff person #3 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of January 2026. Requirement: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #3 must be supervised, when interacting with children, at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff member #3 will no longer continued to work in a classroom unsupervised until they complete their pediatric first aid/CPR training. They will be placed into a classroom with one other teacher until pediatric first aid/CPR is up to date. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Age and Training (3270.31(e)(4)(i))

Staff person #3 has not completed pediatric first-aid/CPR training on or before expiration of the most current certification. This is evidenced by the previously documented pediatric first-aid/CPR training on file expiring January 2026. Documentation of updated pediatric first-aid/CPR training is not on file. Requirement: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Until such time as the required pre-service trainings are completed, staff person #3 must be supervised, when interacting with children, at a minimum by an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #3, staff person #3 may not work in a child-care position at the facility. Correction: Staff member #3 will be signed up for a CPR as soon as possible. Until completion of the class, they will not be left unsupervised. Staff members will be reminded to once again review their files on a monthly basis to ensure that there are no lapses in any necessary documentation. This includes class credits, clearances, fire safety, mandated reporting, CPR, and health assessments/physicals. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL (3270.32(a))

Staff person #1 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 10-4-20. Staff person #4 has not completed mandated reporter training within 90 days of their date of hire (see LIS code sheet). Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). Until such time as the required training has been completed, staff person #1 and #4 must be supervised, when interacting with children, at a minimum by an AGS who has completed all pre-service trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 and #4, staff person #1 and #4 may not work in a child care position at the facility. Correction: Staff members will be reminded to once again review their files on a monthly basis to ensure that there are no lapses in any necessary documentation. This includes class credits, clearances, fire safety, mandated reporting, CPR, and health assessments/physicals. Mandated Reporting was completed on 2/24/2026 for staff member #1. An attachment will be sent by email. Staff member #4 is currently on medical leave. Before returning to the organization, staff member will complete mandated reporter training. Once received, an email copy will be attached and sent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

In child care spaces (3270.75(a))

The older toddler room lacked a first-aid kit. Requirement: A first-aid kit shall be in a child care space. Correction: Each staff member will be responsible for ensuring that the first aid bag is locked safely in the cabinet before beginning and shift and at the end of the day. A first-aid kit was placed in the older toddler room. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Inaccessible to children (3270.75(b))

In the toddler room, the first-aid kit was in a bag near the door and was accessible to children. Requirement: A first-aid kit must be inaccessible to children. Correction: All first aid bags will be locked in a secure cabinet after each use. All staff will be reminded of this and the reasons on why the bags need to be out of the reach of children. The first-aid kit was placed in a locked cabinet. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written emergency plan posted (3270.124(e))

An emergency transportation plan was not posted in the older toddler and pre-k 2 rooms. Requirement: A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children. Correction: The emergency transportation plan was placed in the corrected area on the date of correction. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Exemption documentation from parent/guardian/Dismissal policy (3270.131(e)(1)/3270.131(e)(3))

The file for child #3, enrolled more than 60 days at the facility, lacked documentation of the 2nd Hepatitis B, DTAP, & Polio vaccinations and the 1st & 2nd Hepatitis A vaccinations being administered in accordance with the schedule recommended by the ACIP and lacked exemption documentation. Requirement: The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 must be dismissed from care by close of business on 2-12-26 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Correction: Child #3 will be required to either get an exemption letter signed and dated from the pediatrician stating that there is a recommended change in vaccine schedule or make an appointment to receive the appropriate vaccines. Child #3 is expected to go to the doctor February 24, 2026. Child #3 will not return until the documentation received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Written consent (3270.133(6))

In the pre-k 1 room, there was Epinephrine medication for child #5 that lacked written parental consent for administration of the medication. Requirement: A parent shall provide written consent for administration of medication or a special diet. Correction: The written parental consent form for permission to administer medication was signed immediately upon the child being picked by the parent. The permission form was reviewed and discussed with the parent. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter (3270.151(a))

The file for staff person #2 had health assessments that exceeded 24 months between assessments. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. Correction: Staff members will be reminded to once again review their files on a bimonthly basis to ensure that there are no lapses in any necessary documentation. This includes class credits, clearances, fire safety, mandated reporting, CPR, and health assessments/physicals. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Mantoux TB (3270.151(c)(2))

The file for staff person #4 lacked a tuberculosis screening by the Mantoux method prior to providing initial service in a child care setting at the facility and requires a current tuberculosis screening by the Mantoux method. Requirement: An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department. Correction: As staff person #4 was a rehire, and as a result of this person being with our organization for over 40 years, the original tuberculosis test cannot be found. This staff person is on medical leave. Staff person #4 will acquire a new TB test before returning. Once, obtained, we will send a copy. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The file for child #3 lacked a current agreement updated by the parent within the last 6 months. The files for child #2 and #3 had an emergency contact form that exceeded 6 months between updates by the parent. The files for child #1 and #4 had an emergency contact form and agreement that exceeded 6 months between updates by the parent. Requirement: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: The files for child #3 was signed and dated the following day. All forms have been updated. Moving forward, a system (stated below) will be put into place to prevent lapses from happening in the future. The months that the signatures will be required for review are September and March. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Emergency info/agreement updated 6 mos (3270.181(c))

The file for child #1 had an emergency contact form that exceeded 6 months between updates by the parent. The files for child #1, #2, and #3 lacked a current agreement updated by the parent within the last 6 months. Requirement: A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information. Correction: Staff will be more diligent in checking to see that these are signed every 6mo. All children now have updated emergency contact forms and agreements. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

General Health and Safety (3270.21)

On 2-11-25, the door to the kitchen was observed to be open at two different times during the morning and had sharp knives on the counter that were accessible to children. Requirement: Conditions at the facility may not pose a threat to the health or safety of the children. Correction: Staff members have been reminded that this is essential. The cook was not there that day, and she is very good at ensuring this happens. We had a staff meeting that discussed this. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Health and Safety Training (3270.31(f))

Staff person #3 completed the following required pre-service training on 1-8-25 that was over 90 days after their date of hire (see LIS code sheet): Pediatric first-aid/CPR training. Requirement: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Correction: CPR and first aid was not completed in 90 days due to the fact that English is not the staff person's first language. In the future, we will contact Trying Together to help find a class appropriate for new staff's languages. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Comply with CPSL/CPSL information (3270.32(a)/3270.192(4))

The file for staff person #2 had an NSOR verification certificate dated 2-10-20 and lacked a current NSOR verification certificate dated within the last 60 months. Requirement: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a child care position at the facility. Correction: We are making a staff tracking sheet that will help us keep track of everyone's expiring clearances and health assessments. Staff will also be reminded within 2 months of a clearances/health assessment expiration date. We also talked about the importance of maintaining compliance in our staff meeting. The NSOR verification form was sent to certification representative on February 24. Staff person #2 did not work in a child care position until the NSOR verification form was received. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Each staff person meets quals/Exp, educ., training prior to facility (3270.33(a)/3270.192(2)(ii))

The file for staff person #3, functioning as a group supervisor, lacked verification of education to qualify as a group supervisor. Requirement: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility. Correction: We are in the process of getting the staff member's diploma/transcripts translated and evaluated by an approved organization/agency. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

No peeling paint or plaster (3270.77(a))

In the infant room, there was one area with peeling paint on the back wall. In the pre-toddler room, there was one area with peeling paint on the back wall. Requirement: Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility. Correction: Spots on wall will be sanded and repainted. A staff member will be appointed to be a safety inspector and use our already developed Health and Safety checklist Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports (3270.131(b)(2)/3270.182(1))

The file for child #1, a preschooler, had a health assessment that exceeded 12 months between assessments. Requirement: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports. Correction: Parent was contacted to provide us with the correct day that the physical occurred. Upon further review, the date was Jan 8. We recognize this still puts this out of compliance. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Original label (3270.133(5))

In the pre-k 1 room, there was an inhaler for child #4 that was expired. Requirement: Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label. Correction: Medication was immediately sent home to the parent/guardian. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

12 months prior to service and every 24 months thereafter/Health assessment, TB test (3270.151(a)/3270.192(3))

The file for staff person #1 lacked a current health assessment updated within the last 24 months. Requirement: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis. Correction: We contacted staff person #1 to ask her doctor for the form. Health assessment was completed on time and will be placed in staffs file. A copy will also sent to certification representative. We are making a staff data sheet that will help us keep track of everyone's expiring clearances and health assessments. Staff will also be reminded within 2 months of a clearances/health assessment that are expiring. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Potentially hazardous food refrigerated (3270.161(d))

In the Pre-k 1 and Pre-k 2 rooms, there were children's lunchboxes observed in the rooms containing multiple potentially hazardous foods that were not refrigerated including Go-Gurt Squeeze Yogurts, sliced strawberries, Pizza Lunchables with Cheese, Lunchables with turkey, ham, and cheese, and a sandwich with lunchmeat. Requirement: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated. Correction: Lunches for Bag Lunch Day were moved into the fridge immediately. Moving forward, the lunches will be placed into the fridge at drop off. Bag Lunch Day occurs every 2nd Tuesday of the month. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).

Devices must be compliant/Director or designated staff person ensure compliance (3270.95(a)/3270.95(b))

According to the log, the operator did not manually test the interconnected fire detection system in the facility at least once every 30 days between 5-24-24 to 6-24-24. Requirement: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. Correction: A staff member will be appointed to create a reminder/alarm in their phones to make sure there is no lapse in testing moving forward. The already existing log will also be checked on a more regular basis. Inspection: Renewal. Source: PA DHS COMPASS provider search (compass.dhs.pa.gov).